Individual
MR. ADAM TYRONE CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
Mailing address
120 F ST APT 4, SPRINGFIELD, OR 97477-3920
(541) 736-5926
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
93-0605174
OR
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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